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Office Evaluation of the Pacemaker PatientDetection of Normal and Abnormal Pacemaker Function
Satinder Bhatia, MD;
Nora Goldschlager, MD
JAMA. 1985;254(10):1346-1352.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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IN THE third decade of cardiac pacemaker therapy, more than 500,000 patients in the United States alone live with the aid of a permanent pacemaker. It has been estimated that over 100,000 new pacing systems will be implanted in 1985.1 The proliferation of technologic advances has resulted in an increasing frequency of implantation of multiprogrammable, dual-chamber pacing systems. Although pacemaker programming (Table 1) and telemetric monitoring remain in the domain of the experienced cardiologist, it behooves every physician to recognize normal and abnormal pacemaker function. It has been suggested that pacemaker malfunction can be detected by history and electrocardiography in 99% of patients.2,3 This review will focus on the basic office evaluation of patients with pacemakers, using equipment readily available in the internist's office. Discussion of the radiology of pacing systems (to detect lead position[s] and fracture), principles of transtelephonic monitoring, and description of antitachycardia and defibrillating devices
. . . [Full Text PDF of this Article]
Author Affiliations
From the Division of Cardiology and the Department of Medicine, San Francisco General Hospital Medical Center, and the Department of Medicine, University of California, San Francisco.
Footnotes
Reprint requests to Division of Cardiology, San Francisco General Hospital, Room 5G1, San Francisco, CA 94110 (Dr Goldschlager).
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